Question 1

What insurance policy changes affect CPT 21123?

Accepted Answer

There are 6 tracked policy changes affecting CPT 21123, including updates from PacificSource Health Plans, Aetna, Independence Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 21123?

Accepted Answer

Payers that have issued tracked updates for CPT 21123 include: PacificSource Health Plans, Aetna, Independence Blue Cross.

Question 3

How do I get notified when CPT 21123 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 21123. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 21123?

Accepted Answer

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

21123 Insurance Policy Changes

Medicaid and Commercial Prior Authorization Changes

Stereolithographic Models and Implants (CPB 0613, reviewed 2026-09-03)

MA11.080c, Mentoplasty or Genioplasty

MA11.080c, Mentoplasty or Genioplasty

11.14.01i, Mentoplasty or Genioplasty

11.14.01i, Mentoplasty or Genioplasty